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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
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<body>
<form id="form1" name="form1" method="post" action="">
  <table width="452" border="1">
    <tr>
      <td colspan="2"><blockquote>
        <blockquote>
          <blockquote>
            <p><strong>Change Proctor Status </strong></p>
          </blockquote>
        </blockquote>
      </blockquote></td>
    </tr>
    <tr>
      <td width="77"><div align="right">Username:</div></td>
      <td width="359"><label></label></td>
    </tr>
    <tr>
      <td><div align="right">Password:</div></td>
      <td><label></label></td>
    </tr>
    <tr>
      <td><div align="right">Firstname:</div></td>
      <td><label></label></td>
    </tr>
    <tr>
      <td><div align="right">Lastname:</div></td>
      <td><label></label></td>
    </tr>
    <tr>
      <td><div align="right">Status:</div></td>
      <td><label>
        <select name="select" id="select">
          <option>Select Status</option>
          <option value="0">Active</option>
          <option value="1">Inactive</option>
        </select>
      </label></td>
    </tr>
    <tr>
      <td colspan="2"><label></label>
        &nbsp;message</td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td><label>
        <input type="submit" name="button" id="button" value="Change" />
        <input type="reset" name="button2" id="button2" value="Cancel" />
      </label></td>
    </tr>
  </table>
</form>
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